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HomeMy WebLinkAbout1033 Fountain St - Building VX'hen recorded return re: 2012-1258308 G G a'Lr p Page I of 1 Protot Covenant TER NE 1 Co Gtho&eo s O clziiam Washington 12/20/2012 03 57,17 PM 1111 FA1011 Lf4}: kVA :4{d LT 'IN» 11111 /033 fov/d�l/d rsT ?OPM A v66�s UJR jV ZONING LOT COVENANT I/WE the undersigned owner(s) of the following described property: (insert legal description. address if available. and Assessor's Farce! Number) A_OT la t al -nGK- g,P6008/5YLV440A P9a-Lt}Pl-(oto ThAP45 or Poe'r'A4e t Gi--gLLgm co Ui(Y, Wg5NIS167v.J ANF "tier Pof2r1 ior) of Zthc R-(6uT of WAY A &UTTlrl& PErL oR- 6lnle,n/c6 3'9 do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08. 130' 7 of the Pori Angeles Municipal Code. This covenant creates one inseparable building lot which may only be removed through compliance with Chapter 55.17 RCP' (subdivision regulations) and /or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on the owner(s), heir(s), assien(s), and successor(s) in interest and snail he filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s), assign(s). and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the, recovery of any damages resulting from non compliance. 2 ,,JJ DATED this /r3 dav of )401 3&_- 20/� Print Name: 774 2 rr✓c 0 u4o&2asso Print Name: (Owner Signature) (Owner Signature) Phone: i6O Phone: STATE OF WASHINGTON SS COUNTY OF CLALLAN. I, l .ter Notary Public sand for the Slate of Washinmon, do hereby certify that on fius /.3 dap of 1' r -.t 2 01 2spersonally appeared before me N :Ts, (mown to me to he the individual(s) described in and who executed the within instrum and acknowledged that kig _d s signed and scaled the same as .i, free I111111111 and voluntary act and wag es herein mentioned. GIVEN UNDER M]) '13rA'y IC ,4L SEAL this day of V lv 2 0 Z O t SCARY Rp18 C v PUB0/ 2 y s Ty etih O NOTARY PUBLIC in and foi the State of WPS ,P` Washington residing at fort Moei=s. rllninnit" ". CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. ,""5 cJ C/f( DATE 5'-/6- 9'1 Installed By: Phone: Site Address: Sq. Ft. o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) ~ Overhead o Underground ~Itage 10 030 Service size .;J.LJD o Temporary Amps j)( Residential Heat KW ~ Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) ~ New Construction o Remodel o Service update/alter/repair DetailslDescription: . W.S. No. Service Capacity: 0 O.K. 0 Not OK o Ditch inspection O.K. /1/1" 11.1 Rough-in/cover O.K. 18"""-EJ O.K. to connect service )0 Final O.K. ~ Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Pian Review approved/pending Installer: Permit/Receipt No. Site Address: Date: 7"~/~~ . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. ~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT :j/tl. C () nspe-ctor Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GAE~N - Top: Inspector, Bottom: City Hall OI,.YMPIC PRI"-ITE;:RS. INC. ELECTRICAL PERMIT CITY OP PORT ANGELES W 360-417-4735 Application Number 16-00000732 Date 5/20/16 Application pin number . . 902248 Property Address 1033 FOUNTAIN ST ASSESSOR PARCEL NUMBER; 06-30-08-5-8-1865-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . 0 Application desc expand bedroom / bathroom addition Owner Contractor KATHERINE OCCHIOGROSSO OWNER 1033 FOUNTAIN ST PORT ANGELES WA 983632318 (360) 457-1049 Permit . , . . • . ELECTRICAL ALTER RESIDENTIAL • Additional desc . . Permit Fee . . . . 83.00 Plan Check Fee . . .00 Issue Date . . . . 5/20/16 Valuation . . . . 0 Expiration Date . . 11/16/16 Qty loit Charge Per Extension 4.00 5.0000 ECH ••EL-ECH ADDNT BRANCH CIRCUIT 20.00 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63,00 Fee summary Charged Paid Credited Due Permit Fee Total 83.00 83.00 .00 ,00 • Plan Check Total .00 .00 .00 .00 Grand Total 83.00 83.00 .00 .00 • • INSPECTION TYPE DATE RESULTS: , INSPECTOR: DITCH • SERVICE ROUGH-IN1 FINAL 11 •fir •• A COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GIEXCHANGEIBUILDING - O O4pRr.4:, CITY OF PORT ANGELES PER1MIT APPLICATION Building Division/Electrical Inspections gi ION t.. >e.'--�- 321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,98362vow Ph: (360)417-4735 Fax: (360)417-4711 N Date: -19—/ x1 &2 Single Family Dwelling *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: /O33 roc)Af74/n/ 5I RUU 7 4n,6(-c--6S q .. (‘)..3 Building Square Footage: Description of above 4-v-?) &i.2=C77'11 E" 4 - ) / J2_ 6471-/ Owner Information Contractor Informa'on Name: jNCt /t; 06 644/67 2.S$ Name: 5C—r/ ce)R/ - Mailin! address: / �3 /2)(//t/7-1/ b Mailing Address: City: a- State: u14 Zip: 4 o 3 Gi City: State: Zip: Phone: 7—10 ' ax: Phone: Fax: License#/Exp. License#/Exp. Item Unit Charge Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ . Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/0 Service Feeder $ 63.00 A $ (73-- Each Each Additional Branch Circuit $ 5.00 4/ $ dO Branch Circuits 1-4 $ 75.00 $ Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp.Service/Feeder 201-400 Amp. $110.00 $ Temp.Service/Feeder 401-600 Amp. $149.00 $ Temp.Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft.or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $ 20—Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: 0 Cash N. Check / 0 Credit Card St X / / r /tet-,i( ,)/G/I Dated: ,)--4 /7 ., 0110112012